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Icd crtd cobalt hf MRI is1 df1 at UPMC Mercy
1400 Locust Street, Pittsburgh, PA · UPMC · · NPI 163914308
$60,282.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$100,470.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$10,351.20 with Highmark Wholecare (prev Gateway) vs $89,600.45 with UPMC Health Plan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Highmark Wholecare (prev Gateway) | Medicaid | $10,351.20 | ↓ -83% |
| Aetna | Medicare | $10,782.50 | ↓ -82% |
| Aetna | Neighborhood Network | $12,033.27 | ↓ -80% |
| Aetna | Home Depot Employer Group | $13,133.08 | ↓ -78% |
| Aetna | NBR ASO/FI | $13,370.30 | ↓ -78% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $14,232.90 | ↓ -76% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $14,590.88 | ↓ -76% |
| Cigna | New Business ASO | $14,664.20 | ↓ -76% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $16,220.93 | ↓ -73% |
| Aetna | EBR FI | $16,389.40 | ↓ -73% |
| Aetna | EBR ASO | $17,252.00 | ↓ -71% |
| Cigna | Commercial | $17,252.00 | ↓ -71% |
| Coventry/First Health | Commercial | $18,977.20 | ↓ -69% |
| Highmark Wholecare (prev Gateway) | Medicare | $21,565.00 | ↓ -64% |
| InterGroup | PPO | $21,565.00 | ↓ -64% |
| Highmark BCBS of PA | Managed Care - Social Mission | $24,497.20 | ↓ -59% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $24,942.25 | ↓ -59% |
| Cigna Behavioral Health | Commercial | $25,878.00 | ↓ -57% |
| Private Health Care Systems | PPO | $32,347.50 | ↓ -46% |
| Highmark BCBS of PA | Managed Care | $32,804.88 | ↓ -46% |
| Highmark BCBS of PA | Commercial - Indemnity | $33,400.04 | ↓ -45% |
| American Healthcare Group | Commercial | $34,504.00 | ↓ -43% |
| InterGroup | Approved National Affiliated PPO Business | $34,504.00 | ↓ -43% |
| National Provider Network | PPO | $35,366.60 | ↓ -41% |
| Health Payors Organization | Commercial | $38,817.00 | ↓ -36% |
| Multiplan | PPO (inc. Auto and Worker's Compensation) | $38,817.00 | ↓ -36% |
| UPMC Health Plan | Commercial | $70,752.35 | ↑ +17% |
| UPMC Health Plan | CHIP | $89,600.45 | ↑ +49% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
| Bravo | Medicare | not published by hospital | — |
Visitor-reported prices
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Icd crtd cobalt hf MRI is1 df1 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $54,276.00 | $0.22 – $130,021.45 |
| UPMC Presbyterian | Pittsburgh | $146,978.40 | $0.12 – $144,867.92 |
| UPMC Northwest | Seneca | $40,346.40 | $16,811.00 – $108,424.54 |
| UPMC Somerset | Somerset | $45,067.20 | $15,022.40 – $56,334.00 |
| UPMC Williamsport | Williamsport | $64,147.20 | $9,211.20 – $41,450.40 |